Personality Changes after Deep Brain Stimulation in Parkinson’s Disease

Objectives. Deep brain stimulation of the subthalamic nucleus (STN-DBS) is a recognized therapy that improves motor symptoms in advanced Parkinson’s disease (PD). However, little is known about its impact on personality. To address this topic, we have assessed personality traits before and after STN...

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Main Authors: Uyen Pham, Anne-Kristin Solbakk, Inger-Marie Skogseid, Mathias Toft, Are Hugo Pripp, Ane Eidahl Konglund, Stein Andersson, Ira Ronit Haraldsen, Dag Aarsland, Espen Dietrichs, Ulrik Fredrik Malt
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2015/490507
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author Uyen Pham
Anne-Kristin Solbakk
Inger-Marie Skogseid
Mathias Toft
Are Hugo Pripp
Ane Eidahl Konglund
Stein Andersson
Ira Ronit Haraldsen
Dag Aarsland
Espen Dietrichs
Ulrik Fredrik Malt
author_facet Uyen Pham
Anne-Kristin Solbakk
Inger-Marie Skogseid
Mathias Toft
Are Hugo Pripp
Ane Eidahl Konglund
Stein Andersson
Ira Ronit Haraldsen
Dag Aarsland
Espen Dietrichs
Ulrik Fredrik Malt
author_sort Uyen Pham
collection DOAJ
description Objectives. Deep brain stimulation of the subthalamic nucleus (STN-DBS) is a recognized therapy that improves motor symptoms in advanced Parkinson’s disease (PD). However, little is known about its impact on personality. To address this topic, we have assessed personality traits before and after STN-DBS in PD patients. Methods. Forty patients with advanced PD were assessed with the Temperament and Character Inventory (TCI): the Urgency, Premeditation, Perseverance, Sensation Seeking impulsive behaviour scale (UPPS), and the Neuroticism and Lie subscales of the Eysenck Personality Questionnaire (EPQ-N, EPQ-L) before surgery and after three months of STN-DBS. Collateral information obtained from the UPPS was also reported. Results. Despite improvement in motor function and reduction in dopaminergic dosage patients reported lower score on the TCI Persistence and Self-Transcendence scales, after three months of STN-DBS, compared to baseline (P=0.006; P=0.024). Relatives reported significantly increased scores on the UPPS Lack of Premeditation scale at follow-up (P=0.027). Conclusion. STN-DBS in PD patients is associated with personality changes in the direction of increased impulsivity.
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series Parkinson's Disease
spelling doaj-art-1e851481710043eea6b1c46c5e0e747c2025-02-03T07:25:58ZengWileyParkinson's Disease2090-80832042-00802015-01-01201510.1155/2015/490507490507Personality Changes after Deep Brain Stimulation in Parkinson’s DiseaseUyen Pham0Anne-Kristin Solbakk1Inger-Marie Skogseid2Mathias Toft3Are Hugo Pripp4Ane Eidahl Konglund5Stein Andersson6Ira Ronit Haraldsen7Dag Aarsland8Espen Dietrichs9Ulrik Fredrik Malt10Department of Neuropsychiatry and Psychosomatic Medicine, Oslo University Hospital-Rikshospitalet, 0027 Oslo, NorwayDepartment of Neuropsychiatry and Psychosomatic Medicine, Oslo University Hospital-Rikshospitalet, 0027 Oslo, NorwayDepartment of Neurology, Oslo University Hospital-Rikshospitalet, 0027 Oslo, NorwayDepartment of Neurology, Oslo University Hospital-Rikshospitalet, 0027 Oslo, NorwayDepartment of Biostatistics and Epidemiology, Oslo University Hospital-Rikshospitalet, 0450 Oslo, NorwayDepartment of Neurosurgery, Oslo University Hospital-Rikshospitalet, 0027 Oslo, NorwayDepartment of Neuropsychiatry and Psychosomatic Medicine, Oslo University Hospital-Rikshospitalet, 0027 Oslo, NorwayDepartment of Neuropsychiatry and Psychosomatic Medicine, Oslo University Hospital-Rikshospitalet, 0027 Oslo, NorwayCentre for Age-Related Medicine, Stavanger University Hospital, 4068 Stavanger, NorwayInstitute of Clinical Medicine, University of Oslo, 0316 Oslo, NorwayDepartment of Neuropsychiatry and Psychosomatic Medicine, Oslo University Hospital-Rikshospitalet, 0027 Oslo, NorwayObjectives. Deep brain stimulation of the subthalamic nucleus (STN-DBS) is a recognized therapy that improves motor symptoms in advanced Parkinson’s disease (PD). However, little is known about its impact on personality. To address this topic, we have assessed personality traits before and after STN-DBS in PD patients. Methods. Forty patients with advanced PD were assessed with the Temperament and Character Inventory (TCI): the Urgency, Premeditation, Perseverance, Sensation Seeking impulsive behaviour scale (UPPS), and the Neuroticism and Lie subscales of the Eysenck Personality Questionnaire (EPQ-N, EPQ-L) before surgery and after three months of STN-DBS. Collateral information obtained from the UPPS was also reported. Results. Despite improvement in motor function and reduction in dopaminergic dosage patients reported lower score on the TCI Persistence and Self-Transcendence scales, after three months of STN-DBS, compared to baseline (P=0.006; P=0.024). Relatives reported significantly increased scores on the UPPS Lack of Premeditation scale at follow-up (P=0.027). Conclusion. STN-DBS in PD patients is associated with personality changes in the direction of increased impulsivity.http://dx.doi.org/10.1155/2015/490507
spellingShingle Uyen Pham
Anne-Kristin Solbakk
Inger-Marie Skogseid
Mathias Toft
Are Hugo Pripp
Ane Eidahl Konglund
Stein Andersson
Ira Ronit Haraldsen
Dag Aarsland
Espen Dietrichs
Ulrik Fredrik Malt
Personality Changes after Deep Brain Stimulation in Parkinson’s Disease
Parkinson's Disease
title Personality Changes after Deep Brain Stimulation in Parkinson’s Disease
title_full Personality Changes after Deep Brain Stimulation in Parkinson’s Disease
title_fullStr Personality Changes after Deep Brain Stimulation in Parkinson’s Disease
title_full_unstemmed Personality Changes after Deep Brain Stimulation in Parkinson’s Disease
title_short Personality Changes after Deep Brain Stimulation in Parkinson’s Disease
title_sort personality changes after deep brain stimulation in parkinson s disease
url http://dx.doi.org/10.1155/2015/490507
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